Mudali, Shiyama

Mudali, Shiyama is an individual health care provider with primary practice located at 375 Dixmyth Ave , Cincinnati OH 45220-2475. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Mudali, Shiyama can be contacted via phone (513) 865-1321.

Contact Information

Primary practice address
375 Dixmyth Ave Cincinnati OH 45220-2475
Phone: (513) 865-1321
Fax: (513) 865-1254
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207ZH0000X 35.120826 Ohio
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X ME108420 Florida

Profile Details

NPI number 1982756565
LBN Legal business name Mudali, Shiyama
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Mar 23rd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982756565 NPPES
Florida MEDICAID 003496200

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